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J Bodyw Mov Ther. 2018 Jan;22(1):24-31. doi: 10.1016/j.jbmt.2017.03.007. Epub 2017 Mar 4.

The effects of neck mobilization in patients with chronic neck pain: A randomized controlled trial.

Author information

1
University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan; Islamabad College of Physiotherapy, Margalla Institute of Health Sciences Rawalpindi, Pakistan.
2
Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan. Electronic address: Mohseni_Bandpei@yahoo.com.
3
Directorate of International Linkages, University of Lahore, Lahore, Pakistan.
4
Physiotherapy Department, National Institute of Rehabilitation Medicine, Islamabad, Pakistan.

Abstract

OBJECTIVE:

To determine the effect of mobilization and routine physiotherapy on pain, disability, neck range of motion (ROM) and neck muscle endurance (NME) in patients having chronic mechanical neck pain (NP).

METHODS:

Sixty eight patients with chronic mechanical NP were randomly allocated into two groups by using a computer generated random sequence table with 34 patients in the multi-modal mobilization group and 34 patients in the routine physiotherapy group. Baseline values for pain, disability, NME, and neck ROM were recorded using visual analogue scale (VAS), neck disability index (NDI), neck flexor muscle endurance test and universal goniometer respectively, before the treatment. Each patient received 10 treatment sessions over a period of four weeks and at the end of four weeks all the outcome measures were recorded again.

RESULTS:

A paired t-test revealed significant pre to post treatment differences for all outcome measures in both groups (p ≤ 0.001 in all instances). An independent t-test revealed statistically significant differences for pain, disability, NME, and neck ROM in favor of the multi-modal mobilization group with a between group difference of 1.57 cm for VAS (p < 0.001), 11.74 points for NDI (p = 0.001), 18.45 s for NME (p < 0.001) and 6.06-8.24° for neck ROM (p < 0.05).

CONCLUSION:

The results suggest that a combination of cervical mobilization with routine physiotherapy is more effective for reducing pain and disability and improving NME and neck ROM in patients with chronic mechanical NP compared to routine physiotherapy alone.

KEYWORDS:

Articular; Musculoskeletal manipulations; Neck muscles; Neck pain; Physical endurance; Physical therapy modalities; Range of motion

PMID:
29332752
DOI:
10.1016/j.jbmt.2017.03.007
[Indexed for MEDLINE]

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